Provider Demographics
NPI:1194868240
Name:STEINHART, HAL COLIN (LISW)
Entity Type:Individual
Prefix:
First Name:HAL
Middle Name:COLIN
Last Name:STEINHART
Suffix:
Gender:M
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14805 DETROIT AVE STE 370
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-3920
Mailing Address - Country:US
Mailing Address - Phone:440-554-8912
Mailing Address - Fax:216-226-5522
Practice Address - Street 1:14805 DETROIT AVE STE 370
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-3920
Practice Address - Country:US
Practice Address - Phone:440-554-8912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH872360101YA0400X
OHI.0000619-SUPV1041C0700X
OHI00006191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
STSW19832Medicare ID - Type Unspecified